Psychiatric Mental Health Nurse Practitioner Per diem - On-call position

Psychiatric Mental Health Nurse Practitioner Per Diem
- On-Call As Needed Position

This is on call as needed position within business hours Monday
- Friday 8:30am - 5:00pm. This position requires current California licensure as a Nurse Practitioner; valid Drug Enforcement Administration (DEA) certificate and current license to practice medicine in California with no disciplinary actions, as specified by Medi Cal/Medicare. One or more years of experience in the specialty field of psychiatric nursing.

Hourly Rate: $100/hr

Principal duties and responsibilities:

• Develop a nursing diagnosis and plan of care, implements the nursing process, and evaluates it for effectiveness.
• Assist and support nursing staff with clinical (e.g., checking vitals, administering injections, assessing and triaging medical issues) and administrative (e.g., coordinating care with pharmacies, insurers, and medical providers) duties.
• Provide medication management and medical support when client's primary psychiatrist is unavailable or not yet assigned.
• Assess, diagnose, and treat individuals with psychiatric disorders using their full scope of therapeutic skills, including the prescription of medication and administration of psychotherapy.
• Prescribe appropriate medications.
• Write Psychiatric Evaluation and Report, consisting of a medical evaluation and report.
• Maintain professional working relationships with all staff, clients, and the public.
• Order laboratory tests as indicated and monitor the laboratory test results; make changes to the treatment regimen as indicated.
• Knowledgeable of policies and procedures for safe work practices.
• Demonstrate knowledge of legal issues, including patient confidentially and risk management in all aspects of patients care.
• Consult with the Chief Medical Officer, when necessary, about patient needs and assessment findings.
• Support psychiatrists in managing patients as outlined below.
• Medication Monitoring Prescribe and evaluate the efficacy of psychotropic medications and the need for laboratory testing.
• Perform comprehensive psychiatric assessments and evaluations of new referrals and established clients, and make determinations of needed psychiatric treatment.
• Participate as an active member of the multi-disciplinary team at assigned program(s).
• Consult with appropriate professional staff on unusual, complex, or critical cases.
• Participate in staff conferences and clinic meetings.
• Coordinate client care and participate in clinical case conferences, both formally and informally, with multi-disciplinary staff.
• Interface directly with clients and provide counseling, particularly during times of conflict and crisis intervention.
• Provide appropriate consultation and support to other staff in responding to client crises.
• Help clients strengthen problem-solving, socialization, and coping skills.
• Encourage clients' resourcefulness, self-empowerment, and understanding their diagnosis and/or illness.
• Complete and update case notes and other documentation, processes, and procedures in accordance with Agency, payor and regulatory requirements, utilizing paper or computer technology.
• Document all client, assessments, psychiatric evaluations, and services in medical record, emphasizing client progress and special or exceptional treatment, adverse effects, and significant lab values.
• Complete necessary forms and comply with regulatory guidelines per contractual obligations.
• Meet with Supervising Psychiatrist regularly and as needed for consultation, according to supervision schedule to be determined by the Chief Medical Officer.
• Discuss and review the following as appropriate with Supervising Psychiatrist: client assessments, diagnostic and clinical management questions, QI concerns, and workflow or efficiency issues.
• Review clinical documentation with Supervising Psychiatrist as needed and incorporate feedback.
• Consultation with Supervising Psychiatrist is REQUIRED in the following situations:
  Emergent medical conditions requiring prompt intervention after stabilizing care is initiated;
  Acute decompensation of the client;
  History, physical, or laboratory findings inconsistent with the clinical picture;
  Upon request of the client, PMHNP, or Supervising Physician.

Other duties and responsibilities:

• Attend and participate in staff, program, Agency and community meetings and training, as required.
• Meet continuing education requirements to satisfy regulatory, accreditation, and Agency requirements and ensure continued professional growth and knowledge of current trends in mental health.
• Participate in management of team/program discretionary resources available to meet client needs.

Knowledge, skill, and abilities required:

• Graduate of an accredited Master's level Nurse Practitioner program or successful completion of a graduate level Psychiatric Nurse Practitioner Specialty program accredited by the CA BRN; certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP) (E); current California licensure as a Nurse Practitioner (E); valid Drug…